2022-23 Coalition Membership Application

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Membership in the HLC is open to all stakeholders in Central Oregon, including nonprofit homeless assistance providers, victim service providers, faith-based organizations, governments, businesses, advocates, public housing agencies, school districts, social service providers, mental health agencies, hospitals, universities, affordable housing developers, law enforcement, veterans service organizations, and homeless or formerly homeless individuals as well as culturally specific service providers and advocacy groups. Each member (association or individual) of the Coalition has a voice on important community matters, including the opportunity to provide input on CoC decisions by participating in HLC committees and workgroups.

Email *

HLC membership dues are based on a sliding scale, reviewed annually, and approved by the Board. Membership dues are collected annually. Fees may be waived for persons or at the discretion of the CoC members. Individuals or organizations interested in a fee waiver must contact info@cohomeless.org to make the request, must provide a rationale for the need of a fee waiver, and must be available to participate in a workgroup or other CoC activity in exchange for the fee waiver. Select the category that best represents your organization or yourself. An invoice is available on our website. Thank you. *

Large Business/ Non Profit or other Organizations with $500,000 budget or more [Government, Schools, Healthcare]

Small Businesses/ Non Profit or Other Organization- budget up to $499,999

Faith-based partners (Churches or congregations)

Culturally or Identity Specific Services Provider (Ex: LGBTQIA/Disability Rights etc.)

Individuals or Families

Request a waiver. A dues waiver is available for formerly unhoused individuals or ANY with an economic hardship ($0/year) email info@cohomeless.org to request

Other:

Required

Name of Primary Contact for Organization (one person only) *

Applicant is *

Nonprofit (providing direct service to those experiencing or at risk of houselessness)

Applying as a government entity

Applying as a school district

Applying as a health care / behavioral healthcare organization

Applying as faith-community/ church

Applying as business

Applying as an Individual

Other:

Name of Agency/Entity/Organization or Individual *

Mailing Address *

Email *

Phone Number

Those interested in becoming a member of the HLC affirm by checking each box that they: *

live or work in Deschutes, Crook, Jefferson Counties or within the Confederated Tribes of Warm Springs

are committed to be an active member of the Homeless Leadership Coalition (defined as regularly reviewing newsletters, and participating in meetings and committees where appropriate

are committed to the vision, goals, objectives, and strategies that have been and/or will be decided by the HLC membership

acknowledge the contributions and expectations of the other members of the HLC, and of Central Oregon Intergovernmental Council and NeighborImpact, including the completion of the Continuum of Care Collaborative Application, coordination of meetings, newsletters, information and data sharing, and inclusivity as evidenced by a commitment to equity and diversity. 3

Required

The HLC strives to operate through consensus-based decision making, designed to focus on common goals while recognizing that each organization and individual has its own unique goals that they may choose to pursue independently. Checking each box signifies your agreement with the following. *

HLC members are free to take individual positions that may be different than the Coalition position but must not claim either directly or through innuendo that they are representing the HLC.

HLC members have a fundamental belief that we can accomplish more together than apart.

HLC members shall respect one another and diverse viewpoints.

HLC members intentionally promote efforts to work together in an environment of trust, transparency, and collaboration for the benefit of shared outcomes.

Required

FOR BUSINESSES AND FAITH COMMUNITIES: Those interested in becoming a member of the HLC commit to the following acts of partnership and collaboration. Checking each box signifies your agreement with the following.

Proactively engage and collaborate with the Homeless Leadership Coalition when concerns, oppportunities or barriers regarding those experiencing homelessness arise

Promote the work of the HLC and its member entitites

Refer individuals and families who are experiencing homelessness or at risk of homelessness to local service providers

FOR INDIVIDUALS. Individuals interested in becoming a member of the HLC commit to the following acts of partnership and collaboration. Checking each box signifies your agreement with the following.

Proactively engage and collaborate with the Homeless Leadership Coalition when concerns or barriers regarding those experiencing homelessness arise

Refer individuals and families who are experiencing homelessness or at risk of homelessness to local service providers

Promote community-wide commitment to employ best practices to end homelessness in Central Oregon

Please indicate topics of interest that you would like to hear about or present on over the next year.

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